What is needed for informed decisions about prostate cancer screening: perspectives of African-American and Hispanic men

Abstract

Professional guidelines suggest that men should learn about risks and benefits of screening to make informed decisions consistent with their preferences. We used concept mapping to investigate views of informed decision making (IDM) of minority men. Statements about what men need for IDM about prostate cancer screening were sorted by similarity and rated for importance by 16 Hispanic and 15 African-American men. Multidimensional scaling and cluster analysis were used to develop a concept map for IDM. The 10-cluster solution was selected. The clusters rated most important were labeled Future Considerations, What to Know and Decision to Make. Clusters labeled Social Support and Sharing Perspectives depicted social aspects of the decision and were intermediate in importance. There was strong correlation in relative importance ratings of clusters by African-American and Hispanic men. However, African-American men gave higher importance ratings than Hispanic men. Concept mapping, a method with strong participatory elements, was useful in identifying conceptual frameworks for IDM of African-American and Hispanic men. Health education to support IDM requires some shifts in focus and strategy. It is important that interventions with minority men build upon a strong conceptual framework.

A community-based intervention to promote informed decision making for prostate cancer screening among Hispanic American men changed knowledge and role preferences: A cluster RCT

“…We engaged community members in the formative work leading up to the development of our intervention [22,40]. Working with community members during the course of designing and conducting research is one practical way to incorporate the values and priorities of marginalized ethnic and socioeconomic communities [39,41].…”

“…Women were included because prior research had indicated that women's perspectives on screening differed from men's and that their support is important for IDM [21,22]. We conducted a systematic review of empiric and theoretical/concept papers to identify cognitive and behavioral processes that comprise IDM, and 16 Hispanic men participated in concept mapping activities concerning what men need to make informed decisions about screening [22].…”

The journey and destination need to be intentional: Perceptions of success in community-academic research partnerships

“…It can even be used as a reliable and valid method for analysing and interpreting open-ended survey data and for informing the development of qualitative interview questions (Jackson & Trochim 2002). The participatory elements of the method have been found useful in studies of community health issues (Burke et al 2005;Kelly et al 2007;McFall et al 2009;Vaughn, Jacquez & McLinden 2013;Vaughn & McLinden 2016) which many community-academic research partnerships address. This may be because concept mapping offers more than a simple method of data collection; it is a powerful visual tool that helps members of the stakeholder group comprehend what they deem to be collectively important so that they can take action.…”

A Comparison of a Centralized Versus De-centralized Recruitment Schema in Two Community-Based Participatory Research Studies for Cancer Prevention

“…When conducted in collaborations between high-risk communities and academic partners CBPR-based recruitment may address factors of distrust, especially when the target population has experienced negative interactions with “research” [5,6,8,9,18–35]. This is of particular relevance when racial and ethnic minorities, such as AAs, are the focus of recruitment efforts.…”